Assessment
The score on the Glasgow Coma Scale (GCS) indicates a coma
What is 8 or less?
Disturbances in electrical activity in the brain
What is a seizure?
Assesses fall risk
What is the Morse Fall Scale?
The action a patient should do if they feel lightheaded while using an incentive spirometer.
What is stop and rest briefly?
The cranial nerve responsible for visual acuity.
What is the Optic nerve (II)?
Purpose of testing for stereognosis
What is to assess the ability to identify objects by touch?
Phase of a seizure that includes the full seizure activity
What is the ictal phase?
A physical restraint
What is 4 side rails, wrist restraints, ankle restraints, vest, or lap restraint?
The flow rate range for oxygen delivery using a nasal cannula
What is 1-6L/min?
Cranial nerves that play a role in eye movement.
What are cranial nerves, CN III - Oculomotor, CN IV - Trochlear, CN VI - Abducens
Signs associated with compartment syndrome during a neurovascular (NV) check?
What is Pain, Paralysis, Paresthesia, Pulselessness, Pallor?
Seizure precautions include:
2 Fall prevention measures in a healthcare facility include:
What is Ensuring adequate lighting, Removing unnecessary objects from hallways, Placing the call light within reach, and Providing non-skid footwear
Type of device provides positive airway pressure to keep airways open, especially during sleep?
What is a CPAP?
The function of the Facial nerve CN VII
What is control of facial muscles for expression?
Components of a neurological physical assessment.
What are Cerebral function (mental status), Cranial nerve assessment, Motor function, and Reflexes?
Appropriate nursing intervention to prevent aspiration during a seizure.
What is place patient on their side?
2 Complications of restraint use
What is contractures, constipation, pressure injuries, decreased mobility, increased confusion, etc
A non-rebreather mask provides what range of oxygen concentration (FiO₂)?
What is 60-100%
Cranial nerves involved in taste sensation
What are cranial nerves? CN VII - Facial, CN IX - Glossopharyngeal, CN X - Vagus
The test used to assess proprioception and cerebellar function
What is the Romberg test?
3 things that are important to document following a seizure event
What is
3 Restraint alternatives
What is?
The minimum flow rate for a simple face mask to prevent rebreathing of CO₂
What is 5L/min?
Damage to cranial nerve CN VII results in...
What is loss of taste on the anterior two-thirds of the tongue?